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DocuSign Envelope ID:35E8DCE7-1CAA-4177-A55F-37F14DE3307B <br /> Exhibit A <br /> Division of Public Health <br /> Agreement Addendum <br /> FY 19-20 <br /> Page 1 of 5 <br /> Women's and Children's Health i <br /> Orange County Health Department Children and Youth <br /> Local Health Department Legal Name DPH Section/Branch Name <br /> Marcia Fort, 919-707-5630, <br /> 324 Speech and Hearing Marcia.Fort@dhhs.ne.gov _ <br /> Activity Number and Description DPH Program Contact <br /> (name,phone number,and email) <br /> 06/01/2019—05/31/2020 <br /> Service Period DPH Program Signature Date <br /> (only required for a negotiable agreement addendum) <br /> 07/01/2019-06/30/2020 <br /> Payment Period <br /> ® Original Agreement Addendum <br /> ❑ Agreement Addendum Revision # <br /> I. Background: <br /> Hearing loss is the most common congenital birth defect, affecting as many as three infants per thousand <br /> born. Left undetected, hearing loss in infants can negatively impact speech and language acquisition., <br /> academic achievement, and social and emotional development. If detected, however, these negative <br /> impacts can be diminished and even eliminated through early intervention. Infants who fail the initial <br /> newborn hearing screening are at a higher risk than the general population of having a hearing loss. The <br /> most recent data from the Centers for Disease Control (CDC), for infants born in 2016, shows that <br /> 25.4% of infants in the United States and 34.4%in the state of North Carolina with a failed newborn <br /> hearing screen are subsequently"lost to follow up." <br /> The primary goal of the Children and Youth Branch's North Carolina Early Hearing Detection and <br /> Intervention (EHDI) Program is to ensure that all infants are screened for hearing loss by one month of <br /> age; that children with congenital hearing loss are identified by three months of age; and that all are <br /> provided access to appropriate audiological, educational, and medical intervention by six months of age. <br /> Regional staffing is needed to support hospital universal newborn hearing screening programs in order <br /> to: 1)ensure that infants receive additional hearing screening when needed, 2) support families through <br /> the diagnostic and/or intervention processes, if necessary,and 3) provide consultation,technical <br /> assistance and resources to public and private agencies for the development and implementation of <br /> effective Early Hearing Detection and Intervention programs. Regional staffing is also needed to <br /> provide support and assistance to parents and families whose children have hearing loss and to provide <br /> assistance to other professionals working with these families. <br /> ljalz�u1�,j 3 - 24 <br /> Heafi Director Signature (use blue ink) Date <br /> Local Health Department to complete: LHD program contact name: (,Ctk. r <br /> (If follow-up information is needed by DPH) Phone number with area code: • 24 - 7�1 i� <br /> Email address: C r, 12'r•, cQC C V <br /> Signature on this page signifies you have read and accepted all pages of this document. Revised July2018 <br />